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. 2010 Oct;24(5):274-8.
doi: 10.3341/kjo.2010.24.5.274. Epub 2010 Oct 5.

Surgical outcomes of transconjunctival anterior orbitotomy for intraconal orbital cavernous hemangioma

Kyong Jin Cho  1 , Ji-Sun Paik, Suk-Woo Yang
Affiliations

Surgical outcomes of transconjunctival anterior orbitotomy for intraconal orbital cavernous hemangioma

Kyong Jin Cho et al. Korean J Ophthalmol. 2010 Oct.

Abstract

Purpose: To describe surgical outcomes for transconjunctival anterior orbitotomy for intraconal cavernous hemangiomas.

Methods: The medical records of 9 consecutive patients with intraconal cavernous hemangiomas who underwent surgical removal by transconjunctival anterior orbitotomy were retrospectively reviewed. The conjunctiva was incised and retracted with a traction suture. For large tumors, a rectus muscle was temporarily disinserted. Tenon's capsule was separated and the tumor was removed with a cryoprobe or clamp. Surgical outcomes, positions of the tumors, methods of approach, and intra- and post-operative complications were evaluated.

Results: The mean follow-up period was 33 ± 6.8 months. No bony orbitotomy was used in this technique and the cosmetic results were very satisfactory. All tumors were removed intact. In 4 patients, tumors were extirpated with the aid of a cryoprobe. No patients had residual proptosis or limitation of ocular movement. No signs of recurrence were noted in any cases at 33 months follow-up. No serious or permanent complications were observed during or after the operation.

Conclusions: Transconjunctival anterior orbitotomy is an important surgical procedure in the treatment of intraconal cavernous hemangiomas. It can produce an excellent result, even if the posterior border of the tumor abuts the orbital apex.

Keywords: Anterior orbitotomy; Cavernous hemangioma; Cryoprobe.

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Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1
Preoperative computed tomography (CT) and magnetic resonance imaging (MRI). (A) Axial CT (mass is ovoid in shape and sharply delineated). (B) Coronal T2-weighted MRI (intraconal mass at the medial portion of the left orbit). (C) Axial T2-weighted MRI (intraconal mass at the inferolateral portion of the left orbit). (D) Axial T2-weighted MRI (lesion immediately behind the eyeball causing flattening of the globe).
Fig. 2
Fig. 2
Surgical procedures. (A) Anterior orbitotomy (transconjunctival incision). (B) Extraction of the mass with a cryoprobe. (C,D) Tumor mass (completely encapsulated, dark red or purple in color).
See this image and copyright information in PMC

References

    1. Casper DS, Chi TL, Trokel SL. Orbital disease: imaging and analysis. New York: Thieme Medical Publisher; 1993. pp. 81–97.
    1. Scheuerle AF, Steiner HH, Kolling G, et al. Treatment and long-term outcome of patients with orbital cavernomas. Am J Ophthalmol. 2004;138:237–244. - PubMed
    1. Rootman J. Diseases of the orbit: a multidisciplinary approach. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 2003. pp. 420–460.
    1. Forrest AW. Intraorbital tumors. Arch Ophthal. 1949;41:198–232. - PubMed
    1. Knapp H. A case of carcinoma of the outer sheath of the optic nerve, removed with preservation of the eyeball. Arch Ophthalmol Otol. 1874;4:323–354.

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